Transparency in Coverage

The Departments of Health and Human Services, Labor, and the Treasury finalized the Transparency in Coverage Rule (TiC) requiring health insurers and employer self-insured health plans to create a member-facing price comparison tool and post publicly-available machine-readable files by July 1, 2022. These files must include in-network negotiated payment rates and historical out-of-network charges for covered items and services, including prescription drugs.

The Kaiser machine-readable files can be found here: https://healthy.kaiserpermanente.org/front-door/machine-readable.

The Blue Shield machine-readable files can be found here: Blue Shield of California – Machine Readable Files (MRFs) (healthsparq.com)